MEDICARE: DR. JAMES ROSS STAMPER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	11336	TX

General Provider Information

NPI Number	:	1922153493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ROSS STAMPER DDS

Provider Business Mailing Address
First Line	:	12000 WILCREST DR
Second Line	:	SUITE 207
City	:	HOUSTON
State	:	TX
Zip	:	77031-1924
Country	:	US
Telephone Number	:	281-495-8828
Fax Number	:	281-495-8991

Provider Business Practice Location Address
First Line	:	12000 WILCREST DR
Second Line	:	SUITE 207
City	:	HOUSTON
State	:	TX
Zip	:	77031-1924
Country	:	US
Telephone Number	:	281-495-8828
Fax Number	:	281-495-8991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/09/2007

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